Active NPI
Martha Ann Hall, PHD
- Psychologist
- Brecksville, OH
National Provider Identifier
1629059159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4624
- Practice address
- 8748 Brecksville Rd
Ste 222
Brecksville, OH 44141-1985 - Phone
- (216) 839-2273
- Fax
- (216) 896-0735
- NPI assigned
- Nov 10, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4624 | OH | Primary |
Addresses
Primary practice location
8748 Brecksville Rd
Ste 222
Brecksville, OH 44141-1985
Mailing address
PO Box 24242
Cleveland, OH 44124-0242
Phone (216) 839-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5555 Mayfield Rd
FL 2
Lyndhurst, OH 44124-2939
Phone (216) 839-2273
8221 Brecksville Rd
Suite 104
Brecksville, OH 44141-1390
Phone (216) 839-2273
PO Box
Suite 24242
Cleveland, OH 44124-0242
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4624 | OH | MD | Clinical Social Worker |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lyndhurst, OH
- NPI 1205829090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261440000000",
"number": "1629059159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24242",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441240242",
"telephone_number": "216-839-2273",
"fax_number": "216-896-0735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8748 BRECKSVILLE RD",
"address_2": "STE 222",
"city": "BRECKSVILLE",
"state": "OH",
"postal_code": "441411985",
"telephone_number": "216-839-2273",
"fax_number": "216-896-0735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "MARTHA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-10",
"last_updated": "2009-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "4624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brecksville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.